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General NPI Number Information
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NPI Number | 1770840423
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Entity Type | Organization
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Legal Business Name | DAVID LEONARD SALL, M.D. P.A.
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 1357 PALM AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8432
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Country | US
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Telephone | 904-396-2273
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Fax | 904-396-2507
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Provider Business Mailing Address
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Address Line | 1357 PALM AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8432
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Country | US
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Telephone | 904-396-2273
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Fax | 904-396-2507
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. DAVID LEONARD SALL
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Credential | M.D.
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Telephone | 904-396-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0015444
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License Number State | FL
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